469 Atlantic Blvd # 9 allstate new sign 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003301 Date 1/14/14
Property Address . . . . . . 469 ATLANTIC BLVD
Tenant nbr, name . . . . . . UNIT 9 ALLSTATE
Application type description SIGN PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
sign/elec
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
DIAMOND REAL ESTATE PROPERTIES HERITAGE SIGNS
6517 LOU DRIVE SOUTH P.O.BOX 236
JACKSONVILLE FL 32216 GREEN COVE SPRINGS FL 32043
(904) 276-0661
----------------------------------------------------------------------------
Permit SIGN PERMIT
Additional desc . -
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 0
Expiration Date . . 7/13/14
----------------------------------------------------------------------------
Special Notes and Comments
NO BTR CALLED WILLIAM MILLER ALLSTATE
AGENT HE SAID HE HAS BEEN HERE SINCE
2000 W/O BTR. I TRANSFERRED HIM TO DAYNA
TO MAKE APPLICATION WILL HOLD SIGN
PERMIT APP UNTIL BTR APPLICATION
SUBMITTED. WILLIAM MILLER 241 8223
***BTR PAID 1/9/14***
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 8 . 00 8 . 00 . 00 . 00
Grand Total 73 . 00 73 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r J
Application Number . . . . . 13-00003301 Date 1/14/14
Property Address . . . . . . 469 ATLANTIC BLVD
Tenant nbr, name . . . . . . UNIT 9 ALLSTATE
Application type description SIGN PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 --------------
-------------------------------------------------------------
Application desc
sign/elec -----------------------
-----------------------------------------------------
Owner Contractor
------------------------
------------------------
DIAMOND REAL ESTATE PROPERTIES HERITAGE SIGNS
6517 LOU DRIVE SOUTH P.O.BOX 236 SPRINGS FL 32043
JACKSONVILLE FL 32216 GREEN COVE
(904) 276-0661
-- -------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - - Plan Check Fee . 00
Permit Fee . . . . 90 . 00 Valuation . . . . 0
Issue Date . . . .
Expiration Date . - 7/13/14 -----------------------
----------------------------------------------------
Special Notes and Comments
NO BTR CALLED WILLIAM MILLER ALLSTATE
AGENT HE SAID HE HAS BEEN HERE SINCE
2000 W/O BTR. I TRANSFERRED HIM TO DAYNA
TO MAKE APPLICATION WILL HOLD SIGN
PERMIT APP UNTIL BTR APPLICATION
SUBMITTED. WILLIAM MILLER 241 8223
***BTR PAID 1/g/14***
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE ---------------
- -------------------------------------------------- -------- 2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 8 . 00 8 . 00 . 00 . 00
Grand Total 98 . 00 98 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Aug. 12. 2013 10:33AM THE MILLER AGENCY No- 4294 P. 2
BunwNG PERMIT Appmww
CITY OFA TLANTIC BEACH AUG 2 2 2013
800 Seminole Road,Atlantic Beach,FL 32233
By
Office(904)247-5826 Fax(904);47-5845 F�_]
lJobAddress: 460-9 ATLANTIC BLVD.ATLANTIC BEACH,FL 32233 Permit Number: T-------------a
Legal Description 10-2621m2S-29E SALTAIR SEC 3 - Parcgl# 170690-0000
Floor Area of- 4F. Sq-Ft
Valuation of Work$ $1500-00 Proposed Work heatg ooled ftoq-It eated1cooled
Cldsg of W64C(eirola C."o): E;2 AcIdition Alteration Repair N4ove Dernolition pq1F01P.W'--K1*
Use ofexistin roposed structure(s)Zircle one): Residential
ne): Yes No
if an existing s rurture,is afire sprin ler system installed?(Urcle 0
Florida Product Approval#
For multiple products useprWu—ct approvallorms
Desen'be in detail the type of work to be performed' REPLACE EXISTIN(3 RACEWAY MC)UNTED I-Ir'H-rEC)CHANNEL LMERS WITH NEW
RArEWAY MOUNTED LETTER$AND WIRE TO EXI$TlNr,SIGN CIRCUIT,REPLACE VINYL ON EXISTING TENANT PYLON PANEL$WITH NEW VINYL.
Property Owner Information:
Name: DIAMOND REAL ESTATE PROPERTIES IV LLC Address: 6517 LOU DRIVE S,___A
City JACKSONVILLE State EL-Zip-azli—Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: HERITAGE SIGNS Qualifying Agent: CHARLES KNIGHT
Address� PO BOX 236 ---City GRE�EN COVE SPRING$ state FL Zip 32G43
904-529-1$67
Office Phone 904-529-7446 Job Site/Contact Number 904-529-7446 Fax 9
State Certification/Registration#ES0000058
Architect Name&Phone 4 NIA
Engineer's Name&Plione N/A
Fee Simple Title Holder Name and Address NJA
Bonding Company Name and Address N/A
Mortgage Lender Name and Address NIA
Ap �ft aeb �d d nd, 'n dxmted. Icarrifythatno wozk orinsts fletion 1-5 co19n1&2cedPfi01'to thO
to '�'Iarods s's in &.5jui-is6etion. 77iispwilitbecomes'U'll
of�1 d 6fS&f6)months at ally dM6 01*
s 0an a 4 00ba a UM f 0 6C wo a 6"$M W111r,"OPools,flirmaces,gailgrS,Heater-sp
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,�,"dAi,C,�A"�",," ,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
MA Y R ES UL T IN YO UR PA YING TWICE FOR IMPR 0 VEMENTS TO YO UR PR OPER T Y. IF
you INTEND To OBTAIN FINANCING CONSULT WITH YOUR LENDER ORAN
A TTORArF Y BEFORE RECORDING M UR NOTICE OF COMMENCEMENT-
'on andknow the some to be true and 0017-oct Aflpiovl�iom of laws and ordinances goveml B49 thi$
Vholab that thavc irad ind examined thd apphalti
y calli of not, T110 gpflrj�g ofq pelfly't doc5 notprmum 0 aufficr jiy to violate or csnc�l the
o work WIZI be COMPhed with wficthel,S ff db '
jVc. 6 Minclonstnictlon or the parlcrnAwa ofcORS01=0
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!PM V1,51017.7 V(817 Oth Cr fcd Ci9i$ta
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lxu�",or , W_�
-------------------------
rint Name Print Name CHARLES L. KNIGHT ---------------
--------------------
wora and subscl Zed befol-e Me Sworn to and subscribed before me 2013
---f"� Day of
his ]Day 3 20 13 i
Ic
Notary Public otary
Rev=d.01,26-10
COREY FREEDMAN
MICHELLE LEWIS
OF V
Commission#EE 97573
'�MS_ Notary Public-State of Florida s Notary Public-State of Florida
*S_My Comm.Expires Nov 24,2013 f My Comm.Expires Jun 1,2015
Commission#DO 942485
or
ELECTRICAL PERMITA PPLICA TION
CITY OFA TLANTIC BEACH FILE COPY i �
800 Seminole Rd,Atlantic Beach,FL 32233
Ph (904)247-5826 Fax(904)247-5845
JOBADDRESS. 469-9 ATLANTIC BLVD.ATLANTIC BEACH, FL 32233 PERMIT# 5301
JEA INFORMATION REQUIRED ONALL PERMITS 1.16 AMPS 120 VOLTS SINGLE PHASE
VALUE OF WORK$ 1500.00
NEwSERVICE FjOverhead F� Underground Underground up Pole
-Residential(Main)Service
- 0-100 amps .101-150amps -1 51-200amps .-amps of Meters
-Commercial(Main)Service -CT Service amps
- 0-100 amps 101-150amps -1 51-200amps amps
Conductor Type - size
-Mufti-Family(Afain)Service
- 0-100 amps -101-150amps -1 51-200amps .-amps #of Unit Meters
Temporary Pok amps
SERVICE UPGRADE .-amps - CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
-100amps -150amps -200amps - amps -CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJEM
-SwimmingPool � Sign -Smoke Detectors_Qty -Transformers KVA -Mdors
FIREALARM SYSTEM (Requires 3 sets ofplans) VAL UE OF WORK S
Qty volts/amps
REPAIRSIMISCELLANEOUS -PanelChange -OH to UG
Replace Burnt/Damaged Meter Can -Safety Inspection
-Other: CONNECTION OF NEW RACEWAY MOUNTED SIGN TO EXISTING SIGN CIRCUIT REMOVING OLD SIGN.
Permit becomes void if work does not commence within a six mont period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local[a w regulation construction or the performance of
construction.
Property Owners Name DIAMOND REAL ESTATE PROPERTIES IV LLC. Phone Number
Electrical Company HERITAGE SIGNS Office Phone 529-7446 Fax 529-1567
CitVGREEN COVE SPRINGgtate FL Zij) 32043
Co.Address: PO BOX 236 1
LicenseHolder(Print): CHARLES L. KNIGHT State Certification/Registration# ES0000015
Notarized Signature of License Holder
Sworn and subschbed before me this_day of 20 13
Signature of Notary Public
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Aug- 12, 2013 10:35AM THE MILLER AGENCY No. 4294 P. 5
FILE y
Cor
OWNER'S AUTHORIZATION FOR AGENT
HERITAGE SIGNS is hereby authorized to act on behalf of
the owner(s) of those lands described
within the attached application, and as described in the attached deed or other such proof of ownership as may
be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development
Permit or other action pursuant to:
F-1 Zoning Variance F-1 Comprehensive Plan Amendment
Use-by-Exception Zoning Map Amendmqmt
Building Permit El Plat,Replat or Lot Division
sign Permit Tree Permit
EJ Oth
BY: (9 1
Signature of Q e�-
Print Name
MAI-
Signature of Owner
Print Name
9)3
Telephone Number State of
County of
Signed-nd-Ivvorn before rne,on this day of,2013
By_ �(A Q V—
EY FREI DDMAN
0 Ft Sl , Florida
:P 2 01"
COREY FREEDMAN
(0/-"Al
Notary Ublic te I Florida
E ir's Nov 4�2
Comm. xp 85
y
COMM'ssion#DO 942
Identification verified: State of Florida
Notary Public 4,2 0 13
My Comm.Expires Nov 24,2013
942485
Yes Do 942485
No
E""'O
Oath sworn: Commission#00
OF
Notary Signature
My Conitnission expires:
City of Atlantic Beach APPLICATION NUMBER
42
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
- Fax(904)247-5845
Phone(904)247-5826 frouted: 2-
E-mail: building-dept@coab.us L Date
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
�6 - TN_o
- 9 11 1--) rev,ew required Yes
t z
&VJ_
Property Addres s V
annigg & Z�o�in ��__
Applicant: AaQ S7
I ree Aaministrator
Project: /V - Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature -31 [3
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation G
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Li�/Approved. [-]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:P1 1J_Date:
TREE ADMIN. Second Review: F-JApproved as revised. E]Denied. C+�- t
PUBLIC WORKS Co�ments: ---------------
PUBLIC UTILITIES 1�11�h W I
Alb 0 0 r A i I —
PUBLIC SAFETY Reviewed by: Date:---
FIRE SERVICES Third Review: RApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
-5826 - Fax(904)247-5845
Phone(904)247
-dept@coab.us Date routed: E12 2- 113
E-mail: building
City web-site: http://Www.coab.us
APPLICATION REVIEW AND TRACKING FORM
nt review requ—ired :Ke:s:] No
Property Address E/VICI anniN &'Zonina___�
Applicant: 7LAQ4 S-7_q IV�5
I ree 70 trator
Project: /V Public Works
I V -Public Utilities
Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 941;�r o v e d. E]Denied.
(Circle one.) Comments:
BUILDING
Date:
NING &ZONIN Reviewed by:
TREE ADMIN. Second Review: rJApproved as revised. [-]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
City of Atlantic Beach 10/16/13
OL110101 License Master Inquiry 09:36:40
Business control nbr 6636
License number . . . . 14 00007879 Last act vity: 3 by ATLBDLW
Pin number . . . . . . . 3044 Created: 1()/U;5/ 1
Business name & address Mailing addres
THE MILLER AGENCY 469 ATLANTIC BLVD UNIT 09
469 ATLANTIC BLVD UNIT 09 ATLANTIC BEACH Fl, 32233
ATLANTIC BEACH FL 32233
Classification . . . . . P585 INSURANCE AGENT
Exemption applied . . . * 10/03/13
License status , date - . PAYMENT PENDING
Appl , issue date . . . . 9/30/13 9/30/13
Expiration, valid thru 9/30/14 9/30/14
Date renewal printed -
Date printed, reprinted
Prior license 13 00007879
Municipal code reference More. . .
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